Blood test, complete blood count (CBC)
Facility: Menorah Medical Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $7.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $4 - $8 | 51% |
| Healthyblue | $7 | 90% |
| United | $7 - $8 | 90% |
| Unicare | $7 | 90% |
| Aetna | $7 - $18 | 90% |
| Amerigroup | $7 | 90% |
| Medicaid / KanCare | $7 | 90% |
| Home State Health Plan | $7 | 90% |
| Celtic | $8 | 103% |
| Blue Cross Blue Shield | $8 - $12 | 103% |
| Devoted Health | $8 | 103% |
| Pyramid Life | $8 | 103% |
| Coventry | $8 | 103% |
| Wellcare | $8 | 103% |
| Humana | $8 - $19 | 103% |
| Triwest Health Alliance | $8 | 103% |
| Oscar | $12 | 154% |
| Multiplan | $14 - $17 | 180% |
| Corvel Corporation | $17 | 219% |
| Oha Network | $17 | 219% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) test at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $4 to $19 across 20 different insurance plans, with a median negotiated amount of $8.00. This price point is consistent with the Medicare benchmark of $7.77, indicating that the facility's commercial rates align closely with the federal government's cost-based standard. While some commercial payers like Humana and Blue Cross Blue Shield have negotiated rates reaching up to $19, these figures represent the maximum allowed amounts under contract rather than the actual cost of care. For patients with high-deductible plans, it is important to note that paying cash directly could sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price, though current data does not list a specific cash payment amount for this service.
Patients should be aware that while the facility is in-network for most major carriers, the final amount owed depends heavily on individual plan deductibles and copays. If you have not yet met your deductible, you may be responsible for the full negotiated rate of up to $19 before insurance coverage begins. To potentially lower your out-of-pocket costs, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment. Additionally, if you receive a bill that includes charges from out-of-network providers, such as certain ancillary lab services, you may be eligible for protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency care at in-network facilities. Always request a detailed, itemized bill to verify that all services rendered are accurately coded and that